| NPI | 1851910632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06859) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 025379) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2023-04-17 |